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MARCIO ROTTA SOARES M.D.
NPI 1346474871
Family Medicine - Geriatric Medicine in Miami, FL

Active since May 12, 2009PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1295 NW 14TH ST, MIAMI, FL 33125(305) 243-4000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcio Rotta Soares M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCIO ROTTA SOARES M.D. (NPI 1346474871) is an individual geriatric medicine provider in Miami, Florida, licensed in Florida (ME117267) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346474871
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameMARCIO ROTTA SOARESCredential: M.D.
Location Address1295 NW 14TH STMiami, FL 33125-1610
Mailing Address1295 Nw 14th StMiami, FL 33125-1610 · (305) 243-4000
Phone(305) 243-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 12, 2009
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1346474871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in FL · ME117267
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME117267 (FL)
1295 NW 14TH ST, Miami, FL 33125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcio Rotta Soares M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234363649
PECOS Enrollment IDI20131017000944
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims28 services$7.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDMI YADELIS CORTES TORRES M.D.
Psychiatry & Neurology (Psychiatry)
1295 NW 14TH ST, 2ND FLOOR, SUITE E
MIAMI, FL 33125
Miami-Dade County (305) 689-1352
DR. ROLANDO CESAR MENDIZABAL M.D.
Internal Medicine (Cardiovascular Disease)
1295 NW 14TH ST, SUITE I
MIAMI, FL 33125
Miami-Dade County (305) 325-4541
JEFFREY GOLDBERGER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1295 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (305) 243-5565
GYNECOLOGIC ONCOLOGY ASSOCIATES INC
Obstetrics & Gynecology
1295 NW 14TH ST, SUITE H
MIAMI, FL 33125
Miami-Dade County (305) 324-7300
UNIVERSITY OF MIAMI
Internal Medicine (Clinical Cardiac Electrophysiology)
1295 NW 14TH ST, SUITE A
MIAMI, FL 33125
Miami-Dade County (305) 243-5554
BRIAN WILLIAM MORRISON M.D.
Dermatology
1295 NW 14TH ST, UNIVERSITY OF MIAMI HOSPITAL SOUTH BLG, SUITES K-M
MIAMI, FL 33125
Miami-Dade County (305) 243-6704
DR. FERNANDA BELLODI SCHMIDT M.D.
Dermatology
1295 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (305) 243-6704
KATHERINE ALLEN
Student in an Organized Health Care Education/Training Program
1295 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (206) 372-5427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcio Soares's NPI number?

The NPI number for Marcio Soares is 1346474871. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Marcio Soares located?

Marcio Soares practices at 1295 NW 14th St, Miami, FL 33125. The listed phone number is (305) 243-4000.

What is Marcio Soares's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Marcio Soares enrolled in Medicare?

Yes. Marcio Soares is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marcio Soares accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Marcio Soares as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcio Soares was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.